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  • blood sugar level control

    here's some very important stuff I'd like to share with you:

    My doc told me that controlling your blood sugar levels, even if achieving the "perfect values" so much wanted, will not prevent long-term complications to occur !!!

    Ok, that scared me a bit so I asked him more abt that. He said that ensuring normal blood sugar levels in a diabetic will decrease / prevent the occurrence of long-term damage of small vessels (as those in your kidneys, eye, liver, heart - the coronaries, skin, fingers and toes) and nerves; that's good since you your limbs will be spared and not be amputated !!!

    He also said that very good control of your blood sugar levels together with excellent control of your blood pressure levels and avoidance of extra salt in your food may actually reverse the kidney damage and the proteins thus disappear from your urine; they may actually halt the kidney damage; that's good news !!!

    However, large vessels (such as the aorta, the neck vessels, the limb vessels etc) may continue to get damaged in spite of excellent blood sugar levels; my doc said that in order to prevent that you must:

    1. control the blood pressure levels (keep them under 125/75)
    2. avoid extra salt in your food
    3. do physical exercise regularly;
    4. eat healthy food
    5. take care of your cholesterol levels (keep bad cholesterol/LDL below 100, keep TGs below 120, keep good cholesterol/HDL above 55-60)

    Hope it helped a bit

  • #2
    Yes Thanks for your information.
    Last edited by admin; 01-23-2008, 03:43 PM.

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    • #3
      Wow!

      I am deffinately going to ask my doc. Thank you it's helped me alot.

      Comment


      • #4
        WOw, Thank you



        Thank so much. I am going to talk to my Dr about this too.
        Sylsip

        Comment


        • #5
          normal blood sugar levels??

          Hy and glad to come back. Here's sth weird I'd like to tell you today. I've tried to search for the so called "normal blood sugar levels", that is the sugar levels found normally in a person without diabetes. I have been enormously disappointed at the end when I found out that there are so many differnces even when telling what "normal blood sugar levels" are.
          Here's what I found out:

          All the below values are lab (hospital/clinic/doctor) values not glucometer readings.

          Morning (fasting plasma) sugar:

          No diabetes:

          USA: 70 - 110 mg/dL
          Canada: 65 - 105 mg/dL
          Europe: 60 - 99 mg/dL

          Some even say that values of 90 mg/dL and above put you at risk of developing diabetes !!!!

          Pre-diabetes:

          USA: 111 - 125 mg/dL
          Canada: 106 - 125 mg/dL
          Europe: 100 - 125 mg/dL

          Diabates: all agree on one value: 126 mg/dL and more


          Random (before meals / before going to bed at night) plasma sugar levels:

          No diabetes:

          USA: 70 - 139 mg/dL (less than 140)
          Canada: 65 - 110 mg/dL
          Europe: 60 - 110 mg/dL

          Some of them say that most people have values of 105 mg/dL and below !!!

          Pre-diabetes:

          USA: 140 - 199 mg/dL
          Canada: 111 - 199 mg/dL
          Europe: 111 - 199 mg/dL

          Diabetes: all agree on one value: 200 mg/dL and more

          Postprandial (after eating) plasma sugar levels:

          1 hr after finishing eating:

          no diabetes: less than 180 mg/dL (most people have values below 140 mg/dL)
          pre-diabetes / diabetes: 180 mg/dL and above

          2 hrs after finishing eating:

          no diabetes:

          USA: less than 140 mg/dL
          Canada: less than 120 mg/dL
          Europe: less than 110 mg/dL

          pre-diabetes:

          USA: 140 - 199 mg/dL
          Canada: 120 - 199 mg/dL
          Europe: 110 - 199 mg/dL

          diabetes: all agree on one value: 200 mg/dL and above

          1,5 hrs after finishing eating:

          they say that most people have values below 125 mg/dL

          NOW: If doctors and labs don't agree on some very certain values, how do they expect us, people with diabetes, to have "perfect" control of blood sugar levels as long as they cannot tell us what they are ???????

          The huge discrepancy in the above values should make you think twice before interpreting your meter readings!!!!

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          • #6
            diabetes control - in doctors' view

            Hy again. I will give you below the values used by most doctors to tell patients about how well their diabetes is controlled. I have discussed about that with 4 different top diabetes specialists and here is what they have told me:

            All the below values are lab/clinic/hospital values>

            A. Blood sugar levels recommended in people with diabetes:

            Morning (fasting) plasma sugar levels: 80 - 110 mg/dL

            Excellent control: 80 - 99 mg/dL
            Good control: 100 - 110 mg/dL
            Acceptable control: 111 - 120 mg/dL
            Poor control: 121 - 139 mg/dL
            Very poor control: 140 mg/dL and above

            Random plasma sugar levels: 80 - 120 mg/dL

            Excellent control: 80 - 110 mg/dL
            Good control: 111 - 120 mg/dL
            Acceptable control: 121 - 140 mg/dL
            Poor control: 141 - 179 mg/dL
            Very poor control: 180 mg/dL and above

            1 hr after eating values: less than 180 mg/dL

            Excellent control: less than 160 mg/dL
            Good control: 160 - 179 mg/dL
            Acceptable control: 180 - 199 mg/dL
            Poor control: 200 - 239 mg/dL
            Very poor control: 240 mg/dL and above

            2 hrs after eating values: less than 140 mg/dL

            Excellent control: less than 120 mg/dL
            Good control: 120 - 139 mg/dL
            Acceptable control: 140 - 179 mg/dL
            Poor control: 180 - 199 mg/dL
            Very poor control: 200 mg/dL and above

            B. Cholesterol levels recommended in people with diabetes:

            Total cholesterol:

            Normal values: 140 - 200 mg/dL
            Recommended in diabetes: 140 - 190 mg/dL

            LDL (bad) cholesterol:

            Normal values: 80 - 130 mg/dL
            Recommended in diabetes: 80 - 99 mg/dL

            HDL (good) cholesterol:

            Normal values: 35 - 75 mg/dL
            Recommended in diabetes: above 40 mg/dL in males & above 50 mg/dL in females

            Triglycerides:

            Normal values: 60 - 150 mg/dL
            Recommended in diabetes: less than 130 mg/dL

            C. Blood pressure levels recommended in people with diabetes:

            Normal values: SBP = 100 - 139 / DBP = 60 - 89

            Recommended in diabetes:

            IF no proteins in urine (less than 300 mg/24 hrs), no coronary artery disease / heart attack history, no peripheral vascular disease (?): SBP less than 130; DBP less than 85

            IF some proteins in urine (300 mg - 1g/24 hrs), no coronary artery disease / heart attack history, no peripheral vascular disease (?): SBP less than 125; DBP less than 80

            IF gross proteins in urine (more than 1g/24 hrs) OR coronary artery disease / heart attack history OR peripheral vascular disease (?): SBP less than 120; DBP less than 75

            Hope it helped a bit.

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            • #7
              Hi stel2006,

              Greetings

              This is a great information and thanks for sharing with us and we will take note of it and follow them. Secondly my parents are diabetic and I am in high risk group and I may get diabetes in future out of hereditary. I want to postpone the onset of diabetes and would like to know something regarding postponement/prevention of it. If Anybody has ideas, please discuss here for the benefit of mine and rest of the members here.


              Thanks

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              • #8
                prevention

                To try to delay or avoid getting diabetes (especially if it's so prevalent in your family) you need to stay at a healthy weight and exercise. This leads to insulin sensitivity instead of insulin resistance (which you don't want). Start eating well balanced meals - don't pile on the carbs (check out destinationdiabetes.com under DIY and Healthy Eating for many tips and information on how to eat to level out blood sugar). These habits are critical to form now.

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                • #9
                  The best way to lower your cholesterol use oral anti-diabetic medicine. By controlling high blood sugar, Metformin 500MG helps prevent kidney damage and nerve problems.

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                  • #10
                    medications for diabetes, etc.

                    Medication to lower cholesterol should be a cholesterol lowering drug like a statin. Metformin can compromise the kidneys so if the person has high BUN/Creatinine and/or low GFR (filtration rate) should NOT take metformin.

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